ATI RN Maternal Newborn 2023

Extract:

A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet.

Question 1 of 5

Which of the following questions should the nurse ask to assess the client's dietary intake?

Correct Answer: C

Rationale: Rationale for choice C: Asking how much protein the client eats in a day assesses the client's overall dietary intake and can provide valuable information about their nutritional status. Protein is an essential macronutrient, and inadequate intake can lead to various health issues. By inquiring about protein consumption, the nurse can evaluate if the client is meeting their nutritional needs.
Rationale for other choices:
A: Asking about the last time the client ate meat is specific and may not give a comprehensive picture of their overall dietary habits.
B: Asking if the client has considered eating shellfish is too specific and does not address their current dietary intake.
D: Inquiring about a Vitamin C supplement is not directly related to assessing the client's overall dietary intake.

Extract:

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus.

Question 2 of 5

Which of the following responses should the nurse make?

A. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.' B. This procedure determines if your baby has genetic or congenital disorders.' C. We can schedule the procedure for later today if you'd like.' D. You cannot have an amniocentesis until you are at least 35 years of age.'

Correct Answer: B

Rationale: The correct answer is B because chorionic villus sampling is used to detect genetic disorders, not determine the baby's sex (
A). Offering to schedule the procedure immediately without discussing risks or benefits (
C) is not appropriate. The statement about age restriction for amniocentesis (
D) is false and misleading. It's important for the nurse to focus on the purpose of the procedure, which is to identify genetic or congenital disorders in the baby (
B).

Extract:

A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding.

Question 3 of 5

Which of the following actions should the nurse take first?

A. Massage the client's fundus. B. Empty the client's bladder. C. Provide oxygen to the client via nonrebreather face mask. D. Administer oxytocin to the client.

Correct Answer: A

Rationale: The correct action for the nurse to take first is to massage the client's fundus. This helps prevent postpartum hemorrhage by promoting uterine contractions and expelling clots. It also assesses the firmness of the uterus. Emptying the client's bladder is important but can be done after fundal massage. Providing oxygen is not the priority unless the client shows signs of respiratory distress. Administering oxytocin can be done later as per the healthcare provider's order.

Extract:

A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus.

Question 4 of 5

Which of the following information should the nurse manager include in the teaching?

A. Transmission can occur via the saliva and urine of the newborn.' B. This infection requires that airborne precautions be initiated for the newborn.' C. Mothers will receive prophylactic treatment with acyclovir prior to delivery.' D. Lesions are visible on the mother's genitalia.'

Correct Answer: A

Rationale: The correct answer is A because herpes simplex virus (HSV) can be transmitted through contact with saliva and urine of the newborn. This information is crucial for the nurse manager to include in teaching to ensure proper precautions are taken.
Choice B is incorrect as HSV does not require airborne precautions.
Choice C is incorrect as acyclovir is typically given to the mother, not the newborn.
Choice D is incorrect because lesions on the mother's genitalia do not directly relate to transmission via saliva and urine.

Extract:

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.

Question 5 of 5

Which of the following actions should the nurse take?

A. Assist the client in pulling their knees toward their abdomen. B. Apply pressure to the client's fundus. C. Press firmly on the client's suprapubic area. D. Move the client onto their hands and knees.

Correct Answer: A

Rationale: The correct action is to assist the client in pulling their knees toward their abdomen (
Choice
A) to facilitate the delivery of the shoulders during a shoulder dystocia. This maneuver helps to create more space in the birth canal for the baby's shoulder to pass through. Applying pressure to the fundus (
Choice
B) could potentially cause harm to the baby. Pressing firmly on the suprapubic area (
Choice
C) is not an appropriate action during shoulder dystocia. Moving the client onto their hands and knees (
Choice
D) could worsen the situation by altering the position of the baby. It is crucial to choose the action that is evidence-based and designed to resolve the specific issue at hand effectively.

ATI RN Maternal Newborn 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN